Advanced Orthopedics New England

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ADVANCED ORTHOPEDICS NEW ENGLAND

Practice address

54 W Avon Rd
Suite 104
Avon, CT 06001-3680

Phone

(860) 728-6740

Fax

(860) 547-1554

NPI assigned

Apr 21, 2011

Last updated

Mar 12, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Micah Kruger, M.D.NPI 1881684918

Title

Physician

Phone

(860) 728-6740

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Advanced Orthopedics New England

  • Specialist
  • Rocky Hill, CT
  • NPI 1083905319

  O20041005000030

  Same enrollment
• Advanced Orthopedics New England

  • Orthopaedic Surgery Physician
  • Bloomfield, CT
  • NPI 1215086459

  O20041005000030

  Same enrollment
• Advanced Orthopedics New England

  • Specialist
  • Enfield, CT
  • NPI 1427348770

  O20041005000030

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Micah Kruger, MD

  • Orthopaedic Surgery Physician
  • Vernon, CT
  • NPI 1881684918
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1225329501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE STE 2126",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051719",
            "telephone_number": "860-728-6740",
            "fax_number": "860-547-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W AVON RD",
            "address_2": "SUITE 104",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013680",
            "telephone_number": "860-728-6740",
            "fax_number": "860-547-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOPEDICS NEW ENGLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICAH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-728-6740",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Abdelmonim Affany, MD
• Mohammed T. Ahsan, PA-C
• Mallory Elizabeth Akin, APRN
• Susan Elizabeth Alexe
• Alexis Cascone Nutrition LLC

• Specialist in Avon, CT
• Providers in Avon, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.